Organization Active NPI

Mark Kripal Hearing & Audiology LLC

  • Audiologist
  • North Platte, NE
National Provider Identifier
1780879676
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
166 Issued in NE
Legal business name
MARK KRIPAL HEARING & AUDIOLOGY LLC
Practice address
801 William Ave
North Platte, NE 69101-6556
Phone
(308) 532-3330
Fax
(308) 532-3334
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori Jayne Kripal
Title
Office Manager, Owner
Phone
(308) 532-3334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 166 NE Primary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X 639 NE

Addresses

Primary practice location

801 William Ave
North Platte, NE 69101-6556

Mailing address

PO Box 795
North Platte, NE 69103-0795
Phone (308) 532-3330

Other identifiers 3

IdentifierTypeStateIssuer
100251338-00MedicaidNE
100251241-00MedicaidNE
36804OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040908000595 NE Part B Supplier - Clinic/Group Practice 0648246900 Receives reassigned benefits from 1 practitioner
Practice locations: North Platte, NE

National Provider Directory

National Provider Directory

Locations

520 E Francis St
North Platte, NE 69101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1780879676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691030795",
            "telephone_number": "308-532-3330",
            "fax_number": "308-532-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WILLIAM AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016556",
            "telephone_number": "308-532-3330",
            "fax_number": "308-532-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK KRIPAL HEARING & AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "KRIPAL",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "OFFICE MANAGER, OWNER",
        "authorized_official_telephone_number": "308-532-3334"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NE",
            "license": "166",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "NE",
            "license": "639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251338-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251241-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "36804",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.